United States Department of Agriculture FRESH MARKET ......Bell Pepper An annual pepper (of the...

United States

Department of

Agriculture FRESH MARKET

PEPPER LOSS Federal Crop

Insurance

Corporation ADJUSTMENT

STANDARDS

Product

Administration &

Standards

Division HANDBOOK

FCIC-25340 (5-2010) 2011 and Succeeding Crop Years

MAY 2010 SC 1 FCIC-25340 (FM PEPPER)

UNITED STATES DEPARTMENT OF AGRICULTURE

WASHINGTON, D.C. 20250

FEDERAL CROP INSURANCE HANDBOOK NUMBER: 25340

SUBJECT:

FRESH MARKET PEPPER

LOSS ADJUSTMENT

STANDARDS HANDBOOK

2011 AND SUCCEEDING

CROP YEARS

OPI: Product Administration and Standards Division

Approved: Date:

/S/ Tim B. Witt May 3, 2010

Deputy Administrator, Product Management

THIS HANDBOOK CONTAINS THE OFFICIAL FCIC-ISSUED LOSS ADJUSTMENT

STANDARDS FOR THIS CROP FOR THE 2011 AND SUCCEEDING CROP YEARS. ALL

REINSURED COMPANIES WILL UTILIZE THESE STANDARDS FOR BOTH LOSS

ADJUSTMENT AND LOSS TRAINING.

SUMMARY OF CHANGES/CONTROL CHART

The following list contains significant changes to this handbook, as determined by us. It may not

represent all changes made. All changes made to this handbook are applicable regardless of whether or

not listed.

Major Changes: See changes or additions in text, which have been highlighted. Three stars (***)

identify information that has been removed.

Changes for Crop Year 2011 (FCIC-25340) issued MAY 2010:

A. Throughout handbook: Made editorial and syntax changes so handbook text tracks with current

RMA-approved handbook formatting, and updated examples and forms as needed.

B. Throughout the handbook: Comments that pertained to grammar, punctuation, deleting

unneeded words, rewording to make a sentence flow better, corrections of reference numbers,

formatting, etc. were incorporated if accepted, but are not listed.

C. Subsection 2B(3) - Added abbreviation for Minimum Value Option (MVO).

D. Subsection 2B(4) - Revised definition of Penhooker and U-pick.

E. Subsection 5D - Revised row width determinations based on normal planting pattern of double

row beds for peppers.


FRESH MARKET PEPPER LOSS ADJUSTMENT STANDARDS HANDBOOK

SUMMARY OF CHANGES/CONTROL CHART (Continued)

F. Subsection 5E - Revised sample row length determination instructions and moved to

subsection 5E.

G. Subsection 5F - Revised instructions for determining insurable acreage and moved to

subsection 5F

H. Subsection 8A - Revised appraisal worksheet form standards in accordance with latest RMA

approved procedure.

I. Subsection 8D - Revised summary of harvested production worksheet entries and completion

procedures.

J. Subsection 9A - Revised claim form standard instructions in accordance with RMA approved

procedure.

K. Subsection 9C - Items 4-6, allow recording of three additional entries for dates of damage,

causes of damage, and the related determined percent of damage. No longer requires

identification of a primary cause of damage (51% rule removed).

L. Subsection 9C - Deleted entries for “Preliminary Acres,” and entries for Stage Guarantee “Per

Acre” and Total.”

M. Subsection 9C - Added items 17 and 48, to allow entry of multi-crop codes on the PW as

required by the LAM.

N. Subsection 9C - Added item 18 to provide space to enter reported acres (from the acreage

report). This is important when determining if there are under-reported acres.

O. Subsection 9C - Added item 19 to provide space to enter determined acres on the PW as

previously required by the Loss Adjustment Standards Handbook.

P. Subsection 9C - Items 23-26 and item 28, new entry items to record applicable actuarial codes

when identified on the FCI-35.

Q. Subsection 9C - Item 71, records total production allocated to this unit from other unreported

units.



SUMMARY OF CHANGES/CONTROL CHART (Continued)

R. Subsection 9C - Item 72, records total APH production for this unit, after deductions for

production damaged by uninsured causes (total of column 37) and production allocated to other

units included on this unit‟s claim (item 71).

S. Subsection 9C - Items 73 and 74 reversed so insured‟s signature is on the left hand side and the

adjuster‟s signature is on the right hand side of the form.

T. Subsection 9C - Incorporated revised production worksheet and replanting worksheet.

Control Chart For: Fresh Market Pepper Loss Adjustment Standards Handbook

SC Page(s) TC Page(s) Text

Page(s)

Reference

Material Date

Directive

Number

Remove ENTIRE BOOK

Current

Index 1-3 1-2 1-44 46-48 05-2010 FCIC-25340

THIS PAGE INTENTIONALLY LEFT BLANK

MAY 2010 TC 1 FCIC-25340 (FM PEPPER)


TABLE OF CONTENTS

PAGE

1. INTRODUCTION .................................................................................................................... 1

2. SPECIAL INSTRUCTIONS ................................................................................................ 1

A. DISTRIBUTION .................................................................................................................... 1

B. TERMS, ABBREVIATIONS, AND DEFINITIONS ............................................................ 1

3. INSURANCE CONTRACT INFORMATION .............................................................. 3

A. INSURABILITY .................................................................................................................... 3

B. PROVISIONS AND PROCEDURES NOT APPLICABLE TO CAT COVERAGE ........... 4

C. UNIT DIVISION .................................................................................................................... 4

D. MINIMUM VALUE OPTION ............................................................................................... 4

4. REPLANTING PAYMENT PROCEDURES ................................................................ 5

A. GENERAL INFORMATION ................................................................................................ 5

B. QUALIFICATIONS FOR REPLANTING PAYMENT........................................................ 5

C. MAXIMUM REPLANTING PAYMENT ............................................................................. 5

D. REPLANTING PAYMENT INSPECTIONS ........................................................................ 6

E. REPLANTING LIMITATIONS ............................................................................................ 6

F. IMPRACTICAL TO REPLANT ............................................................................................ 7

5. FRESH MARKET PEPPER APPRAISALS .................................................................. 7

A. GENERAL INFORMATION ................................................................................................ 7

B. TIMING OF APPRAISALS................................................................................................... 8

C. SELECTING REPRESENTATIVE SAMPLES FOR APPRAISALS .................................. 8

D. MEASURING ROW WIDTH FOR SAMPLE SELECTION ............................................... 8

E. DETERMINING SAMPLE ROW LENGTH FOR 1/100 AND 1/1000 ACRE .................... 9

F. DETERMINING INSURABLE ACREAGE ......................................................................... 9

G. DETERMINING PLANTS PER ACRE .............................................................................. 10

H. BACKGROUND INFORMATION ..................................................................................... 10

I. PEPPER STAGES OF GROWTH ....................................................................................... 11

J. STAGE AMOUNTS OF INSURANCE PER ACRE .......................................................... 11

6. APPRAISAL METHODS ................................................................................................... 12

A. GENERAL INFORMATION .............................................................................................. 12

B. PLANTING TO FRUIT SET METHOD ............................................................................. 12

C. AFTER FRUIT SET METHOD ........................................................................................... 12

MAY 2010 TC 2 FCIC-25340 (FM PEPPER)


TABLE OF CONTENTS (Continued)

PAGE

7. APPRAISAL DEVIATIONS AND MODIFICATIONS .......................................... 13

A. DEVIATIONS ...................................................................................................................... 13

B. MODIFICATIONS............................................................................................................... 13

8. APPRAISAL AND SUMMARY OF HARVESTED PRODUCTION

WORKSHEET ENTRIES AND COMPLETION PROCEDURES .................... 13

A. APPRAISAL WORKSHEET FORM STANDARDS ......................................................... 13

B. GENERAL INFORMATION FOR WORKSHEET ENTRIES AND COMPLETION

PROCEDURES .................................................................................................................... 13

C. APPRAISAL WORKSHEET ENTRIES AND COMPLETION INFORMATION ............ 14

PLANTING TO FRUIT SET/REPLANT ............................................................................ 14

APPRAISAL WORKSHEET EXAMPLE ........................................................................... 17

AFTER FRUIT SET ............................................................................................................. 18

APPRAISAL WORKSHEET EXAMPLE ........................................................................... 20

D. SUMMARY OF HARVESTED PRODUCTION WORKSHEET ENTRIES AND

COMPLETION PROCEDURES ......................................................................................... 21

SUMMARY OF HARVESTED PRODUCTION EXAMPLE ............................................ 25

9. CLAIM FORM ENTRIES AND COMPLETION PROCEDURES .................... 26

A. CLAIM FORM STANDARDS ............................................................................................ 26

B. GENERAL INFORMATION FOR WORKSHEET ENTRIES AND COMPLETION

PROCEDURES .................................................................................................................... 26

C. FORM ENTRIES AND COMPLETION INFORMATION ................................................ 27

SECTION I – DETERMINED ACREAGE APPRAISED, PRODUCTION AND

ADJUSTMENTS .................................................................................................................. 30

SECTION II – DETERMINED HARVESTED PRODUCTION ........................................ 38

CLAIM FORM EXAMPLE ................................................................................................. 43

CLAIM FORM EXAMPLE (REPLANT) ........................................................................... 44

10. REFERENCE MATERIAL ................................................................................................ 46

TABLE A – MINIMUM REPRESENTATIVE SAMPLE REQUIREMENTS .......................... 46

EXHIBIT 1 – PLANTING RECORD .......................................................................................... 47

EXHIBIT 2 – PLANTING RECORD PLAT MAP ..................................................................... 48

MAY 2010 1 FCIC-25340 (FM PEPPER)

1. INTRODUCTION

THIS HANDBOOK MUST BE USED IN CONJUNCTION WITH THE LOSS ADJUSTMENT

MANUAL (LAM) STANDARDS HANDBOOK, FCIC-25010.

The FCIC-issued loss adjustment standards for this crop are the official standard requirements for

adjusting losses in a uniform and timely manner. The FCIC-issued standards for this crop and crop

year are in effect as of the signature date for this crop handbook at

www.rma.usda.gov/handbooks/25000/index.html. All Approved Insurance Providers (AIPs) will

utilize these standards for both loss adjustment and loss adjustment training for the applicable crop

year. These standards, which include crop appraisal methods, claims completion instructions, and

form standards, supplement the general (not crop-specific) loss adjustment standards identified in the

LAM.

2. SPECIAL INSTRUCTIONS

This handbook remains in effect until superseded by reissuance of either the entire handbook or

selected portions (through slipsheets or bulletins). If slipsheets have been issued for a handbook, the

original handbook as amended by slipsheet pages shall constitute the handbook. A bulletin can

supersede either the original handbook or subsequent slipsheets.

A. DISTRIBUTION

(1) The following is the minimum distribution of forms completed by the adjuster and signed

by the insured (or the insured‟s authorized representative) for the loss adjustment

inspection:

(2) One legible copy to the insured. The original and all remaining copies as instructed by the

AIP. It is the AIP‟s responsibility to maintain original insurance documents relative to

policyholder servicing as designated in their approved plan of operations.

B. TERMS, ABBREVIATIONS, AND DEFINITIONS

(1) Terms, abbreviations, and definitions general (not crop specific) to loss adjustment are

identified in the LAM.

(2) Terms, abbreviations, and definitions specific to pepper loss adjustment and this handbook,

which are not defined in this section, are defined as they appear in the text.

(3) Abbreviations:

CAT Catastrophic Risk Protection

CIH Crop Insurance Handbook

DSSH Document and Supplemental Standards Handbook, FCIC-24040

MVO Minimum Value Option

http://www.rma.usda.gov/handbooks/25000/index.html


(4) Definition(s):

Acre 43,560 square feet of land when the row widths do not exceed six feet, or

if row widths exceed six feet, the land area on which at least 7,260 linear

feet of rows are planted.

Allowable Cost The dollar amount per box for harvested production that includes the

actual cost of picking, grading, packing containers, hauling, and selling not

to exceed the amount shown in the Special Provisions.

Bell Pepper An annual pepper (of the capsicum annum species, grossum group),

widely cultivated for its large, crisp, edible fruit.

Box One and one-ninth (1-1/9) bushels of the insured crop.

Crop Year Crop year is a period of time that begins on the first day of the earliest

planting period for fall-planted peppers and continues through the last day

of the insurance period for spring-planted peppers. The crop year is

designated by the calendar year in which spring planted peppers are

harvested.

Direct Sale of the insured crop directly to consumers without the intervention of

Marketing an intermediary such as a wholesaler, retailer, packer, processor, shipper or

buyer.

Excess Rain An amount of precipitation sufficient to directly damage the crop.

First handler A person or entity who takes possession of, or purchases, the insured‟s

crop for the purpose of acting as an intermediary in the marketing/sales

process.

Freeze The formation of ice in the cells of the plant or its fruit, caused by low air

temperatures.

Fruit Set The successful pollination of the flower resulting in a burst of growth of

the ovary, and usually accompanied by wilting of the flowers petals.

Harvest The picking of peppers on the unit.

Penhooker Individuals or entities who purchase the right to harvest peppers remaining

in the field after commercial harvest has been completed.

Tropical A system identified by the U.S. Weather Service as a tropical depression,

Depression and for the period of time so designated, including tropical storms, gales,

and hurricanes.

*** U-pick Scavenged (“Penhooker”) peppers harvested and sold to someone other

than a first handler is to be reported as “u-pick.” U-pick is a form of direct

marketing.


3. INSURANCE CONTRACT INFORMATION

The AIP is to determine that the insured has complied with all policy provisions of the insurance

contract. Crop provisions, which are to be considered in this determination include (but are not limited

to):

A. INSURABILITY

The following may not be a complete list of insurability requirements. Refer to the Basic

Provisions, Crop Provisions, and Special Provisions for a complete list.

(1) The crop insured will be all the fresh market bell peppers in the county for which a

premium rate is provided by the actuarial documents, in which the insured has a share, and

that are:

(a) Planted to be harvested and sold as mature fresh market bell peppers;

(b) Planted within the planting periods designated in the actuarial documents;

(c) Grown under an irrigated practice;

Refer to the LAM and the Basic Provisions for the definition as to what constitutes an

irrigated practice.

(d) Grown on acreage covered by plastic mulch except where the Special Provisions

allow otherwise; and are

(e) Grown by a person who in at least one of the three previous crop years, grew bell

peppers for commercial sale or participated in managing a bell pepper farming

operation.

(g) Grown on insurable land which can include newly cleared land and former pasture

land.

(2) For each planting period, pepper seed or transplants must initially be planted in rows unless

the Special Provisions, actuarial documents, or a written agreement allows otherwise.

(3) Land which has previously grown tomatoes, peppers (except replanted peppers as provided

in the Fresh Market Pepper Crop Provisions), egg plants, or tobacco must be fumigated or

otherwise properly treated before planting peppers in order to be insurable. Refer to the

Basic Provisions for information on “good farming practices.”

(4) Insurance coverage is not provided for damage or loss of production due to:

(a) Disease or insect infestation, unless no effective control measure exists for such

disease or insect infestation; or


(b) Failure to market the peppers, unless such failure is due to actual physical damage

caused by an insured cause of loss that occurs during the insurance period.

(5) Insurance coverage is not provided for peppers:

(a) Interplanted with another crop;

(b) Planted into an established grass or legume;

(c) That are pimento peppers; or

(d) Grown for direct marketing.

(6) For the purpose of calculating whether the insurance period has ceased under section 10(f)

of the Crop Provisions, the elapsed days should be calculated on a unit basis; therefore,

begin counting the day after direct seeding or replanting, transplanting or replanting with

transplants ended on the unit and count through the date the damage occurred. The

calendar date for the end of the insurance period is 165 days after the date of direct seeding

or replanting with seed and 150 days after the date of transplanting or replanting with

transplants.

B. PROVISIONS AND PROCEDURES NOT APPLICABLE TO CAT

COVERAGE

Refer to the CIH and LAM for provisions and procedures not applicable to CAT.

C. UNIT DIVISION

Refer to the insurance contract for unit provisions. Unless limited by the Crop or Special

Provisions, a basic unit, as defined in the Basic Provisions, may be divided into optional units if,

for each optional unit, all the conditions stated in the applicable provisions are met.

D. MINIMUM VALUE OPTION

(1) The total value of harvested production if MVO I or MVO II is selected will be determined

as follows:

(a) For sold production, the dollar amount obtained by subtracting the allowable cost

contained in the Special Provisions from the price received for each box of peppers

(this result may not be less than the MVO price contained in the Special Provisions

for any box of peppers), and multiplying this result by the number of boxes of peppers

sold; and

(b) For marketable production that is not sold, the dollar amount obtained by multiplying

the number of boxes of such peppers on the unit by the Minimum Value shown in the

Special Provisions for the planting period. Harvested production that is damaged or

defective due to insurable causes and is not marketable will not be included as

production to count.


(2) The adjuster must determine why any production is rejected and document that the damage

causing the rejection was due to an insurable cause of loss.

4. REPLANTING PAYMENT PROCEDURES

A. GENERAL INFORMATION

Only one replanting payment will be made for acreage planted during each planting period within

the crop year. Refer to the Basic Provisions, Crop Provisions, and the Special Provisions for

additional information.

B. QUALIFICATIONS FOR REPLANTING PAYMENT

To qualify for replanting payment, the:

(1) Peppers must be damaged due to an insurable cause.

(2) AIP must determine that it is practical and give consent to replant (refer to the LAM).

(3) Acres being replanted must have been initially planted on or after the “Earliest Planting”

date established by the Special Provisions.

(4) Appraisal (or appraisal plus any appraisals for uninsured causes of loss) must indicate that

more than 50 percent of the plant stand, in the field or subfield, will not produce peppers.

Plant stand is defined in the Crop Provisions as the number of live plants per acre prior to

the occurrence of an insurable cause of loss. For inspections involving multiple loss

occurrences the number of live plants prior to the first occurrence of an insurable cause of

loss will be considered the plant stand for replanting payment qualification determinations.

(5) Acreage replanted must be AT LEAST the lesser of 20 acres or 20 percent of the insured

planted acreage for the unit (as determined on the final planting date).

In the Narrative of the Claim Form or on a Special Report, show the appraisal for each field or

subfield and the calculations to document that qualifications for a replanting payment have been

met.

C. MAXIMUM REPLANTING PAYMENT

The maximum amount of the replanting payment per acre will be the LESSER OF:

(1) The insured‟s actual replanting cost; or

(2) The result obtained by multiplying the maximum replanting payment amount per acre

allowed in the Special Provisions times the insured‟s share in the crop.


EXAMPLE 1

Owner/operator (100 percent share)

30 acres replanted

Insured‟s actual cost to replant = $510.00

Maximum allowed per Special Provisions = $995.00 x 1.000 (share) = $995.00

The lesser of $510.00 and $995.00 = $510.00

Enter $510.00 in the Section I, “Appraised Potential” column of the Claim Form. Enter the

replant calculations in the “Narrative” of the Claim Form.

EXAMPLE 2

Landlord/tenant (50/50 share)

30 acres replanted

Insured‟s actual cost to replant = $510.00

Maximum allowed per Special Provisions = $995.00 x .500 (share) = $497.50

The lesser of $510.00 and $497.50 = $497.50

Enter $497.50 in Section I, “Appraised Potential” column of the Claim Form if the insured‟s

share has been applied or $995.00 if the insured‟s share has yet to be applied. Indicate in the

“Narrative” if “Appraised Potential” has/has not been reduced for share on the Claim Form

according to individual AIP guidelines. Enter the replant calculations in the “Narrative” of the

Claim Form.

D. REPLANTING PAYMENT INSPECTIONS

(1) Replanting payment inspections are to be prepared as final inspections on the Claim Form

only when qualifying for a replanting payment. Non-qualifying replanting payment

inspections are to be handled as preliminary inspections.

(2) If qualified for a replanting payment, a Certification Form may be prepared on the initial

farm visit. Enter in item 18 of the Appraisal Worksheet (Planting to Fruit Set/Replant); the

date the acreage was replanted (from a completed Certification Form, signed and returned

by the insured). Refer to the LAM for more information.

E. REPLANTING LIMITATIONS

(1) The insured must replant any acreage of peppers damaged during the planting period in

which initial planting took place whenever less than 50 percent of the plant stand remains;

and

(a) It is practical to replant (as determined by the AIP);

(b) If, at the time the crop was damaged, the final day of the planting period has not

passed; and

(c) The damage occurs within 30 days of transplanting or 60 days of direct-seeding.


(2) Whenever peppers are initially planted during the fall or winter planting periods and the

conditions specified in (1) (b) and (1) (c) above are not satisfied, the insured may elect:

(a) To replant such acreage and collect any replanting payment due, if the AIP determines

it is practical to replant, as specified in Section 12 of the Crop Provisions. The initial

planting period coverage will continue for such replanted acreage.

(b) Not to replant such acreage and receive an indemnity based on the stage of growth the

plants had attained at the time of damage. However, such an election will result in the

acreage being uninsurable in the subsequent planting period.

F. IMPRACTICAL TO REPLANT

Where it is impractical to replant and stand reduction is evident as a result of an insured cause of

loss, the insured may opt to:

(1) Take an indemnity payment based on the stage at the time of damage; or

(2) Take the remaining “undamaged” peppers to harvest.

In (2) above, the area encompassing damaged, destroyed, or missing plants can be released for

“another use,” and be planted (or interplanted) to other (non-pepper) plants. The acreage

released (determined by the percent of stand lost) is to be recorded on a separate line on the

Claim Form, documenting the pepper stage in which the damage occurred. An appraisal on such

released acreage would be added to any harvested production from the remaining acreage on the

unit to obtain the total unit production to count. The final claim is to be completed upon final

disposition of the crop on the unit.

When the crop is damaged to the extent that the majority of growers in the area would no longer

care for the crop (and it is not practical to replant), insurance on that acreage is considered to

have ceased. If the peppers are destroyed, any indemnity will be based on the stage the bell

peppers had reached at the time care would have normally been withdrawn. If the peppers are

not destroyed and are subsequently harvested, settlement of the claim will be as provided in

Section 14 of the Crop Provisions based on the stage the plants had achieved when the damage

occurred. The adjuster is cautioned to be certain there is sufficient potential in a damaged bell

pepper crop to warrant further care, BEFORE it is allowed to progress to the next stage guarantee

(refer to subsection 3 (e) of the Crop Provisions). Refer to the Crop Provisions for the definition

of “Practical to Replant.”

5. FRESH MARKET PEPPER APPRAISALS


Potential production for all types of inspections will be appraised in accordance with procedures

specified in this handbook and the LAM.


B. TIMING OF APPRAISALS

Fruit set is a very critical time for the pepper plant. Temperatures that are too low or too high,

low light intensity, and adverse soil moisture conditions can adversely affect fruit set. This may

adversely affect the adjuster‟s ability to make an accurate appraisal. If necessary, the adjuster

should defer the appraisal in accordance with the LAM.

Post harvest appraisals shall be made on any unit of a policy having a probable loss to determine

the amount of marketable peppers remaining in the field or subfield, unless the adjuster or AIP

suspects shifting of production, in which case a post harvest appraisal must be performed on all

units of the policy. These appraisals should be made as close as possible after final harvest of the

field and/or unit. This will allow for the most accurate appraisal of marketable peppers due to

their rapid deterioration after maturity.

Refer to the LAM for information on deferred appraisals.

C. SELECTING REPRESENTATIVE SAMPLES FOR APPRAISALS

(1) Determine the minimum number of required samples for a field or subfield by the field

size, the average stage of growth, age (size) and general capabilities of the plants, and

variability of potential production and plant damage within the field or subfield.

(2) Split the field into subfields when:

(a) Variable damage causes the crop potential to appear to be significantly different

within the same field; or

(b) The insured wishes to destroy a portion of a field.

(3) Each field or subfield must be appraised separately.

(4) Take not less than the minimum number (count) of representative samples required in

TABLE A for each field or subfield.

D. MEASURING ROW WIDTH FOR SAMPLE SELECTION

Use these instructions for all appraisal methods.

(1) Use a measuring tape marked in inches or convert a tape marked in tenths, to inches, to

measure row width (Refer to the LAM for conversion table).

(2) Only planted area(s) will be considered insurable acreage (Refer to Section 5F below).

Measure across THREE OR MORE row spaces, from the center of the first bed to the

center of the fourth bed (or as many beds needed), and divide the result by the number of

row spaces measured across, to determine an average row width in whole feet.

(3) Apply the row width to determine the length of row required for the sample, as shown in

subsection 5E.


X X X X X X X X

X X X X X X X X

X X X X X X X X

X X X X X X X X

(4) Normal plastic mulch planting pattern (double row beds) as established by the bedding

equipment.

EXAMPLE – DOUBLE ROW BEDS

Bed → 1 2 3 4

3‟ 3‟ 3‟

| 3‟ Bed | | 3‟ Bed | | 3‟ Bed | | 3‟ Bed |

|------- Row Space --------|------- Row Space -------|-------- Row Space ----- |

| .......................Total of 18 Feet measured across 3 row spaces .................... |

18 feet ÷ 3 row spaces = 6 foot average row width

***

E. DETERMINING SAMPLE ROW LENGTH FOR 1/100 AND 1/1000 ACRE

(1) Determine row width in accordance with subsection 5D above.

(2) Determining sample row length for appraisal purposes:

(a) 6-foot row widths or less: Divide 43,560 square feet by the applicable row width to

obtain the linear feet of row per acre. Divide this result by 100 or 1000, in this

example 1000, to obtain the per acre sample row length (43,560 ÷ 5 = 8,712 ÷ 1000

= 8.7 linear feet of row per sample for 1/1000th acre appraisals); or

(b) For row widths greater than 6 feet: Divide the standard linear feet of row 7,260 by

100 or 1000, in this example 1000, to obtain the per acre sample row length (7,260

÷ 1000 = 7.26 or 7.3 linear feet of row per sample for 1/1000th acre appraisals).

F. DETERMINING INSURABLE ACREAGE

Only planted area(s) will be considered insurable acreage. Use the following methods to

determine insurable acreage for loss adjustment purposes:

(1) Establish the planted area(s) within the field (excluding unplanted headlands,

field roads, and/or other areas not part of the planting pattern, used for spraying

and care/harvesting of the crop);

(2) Determine row widths from planted area(s) within the field (Refer section 5D above);

(3) Apply the definition of “Acre” in the crop provisions to the planted area(s):

(a) 6-foot row widths or less with 43,560 square feet of planted area(s) will equal one

insured acre; or

(b) Row widths greater than 6 feet will require more than one land acre to equal one

insured acre.


EXAMPLE 1: DETERMINING INSURABLE ACREAGE WITHIN A FIELD WHEN

ROW WIDTHS EXCEED 6-FEET:

Insured reports 20.0 acres with 8-foot wide planted row spacing in the field. At loss time, the

loss adjuster determines there are unplanted area(s) in the field (unplanted headlands, field

roads, or other areas not part of the planting pattern that are used for spraying and

care/harvesting of the crop). The loss adjuster determines the insurable, planted acreage, as

follows:

1,300 linear feet (length) x 640 linear feet (8-foot row spacing x 80 planted rows) = 832,000

square feet of planted area. 832,000 square feet of planted area ÷ 43,560 square feet per acre =

19.1 acres of planted area. The 19.1 acres of planted area based on 8-foot row spacing must be

adjusted to 6-foot row spacing to determine insurable, planted acres. Multiply 19.1 acres x .750

factor (6-foot row spacing ÷ 8-foot row spacing = .750 factor) = 14.3 insurable, planted acres.

EXAMPLE 2: DETERMINING INSURABLE ACREAGE WITHIN A FIELD WHEN

ROW WIDTHS DO NOT EXCEED 6-FEET:

Insured reports 20.0 acres with 5-foot wide planted row spacing in an irregular shaped field. At

loss time, the loss adjuster determines there are unplanted area(s) in the field (unplanted

headlands, field roads, or other areas not part of the planting pattern that are used for spraying

and care/harvesting of the crop). The loss adjuster determines the insurable, planted acreage, as

follows:

5,808 feet (length) x 80 feet (width) = 464,640 square feet of planted area. 2,904 feet (length) x

80 feet (width) = 232,320 square feet of planted area. 464,640 square feet of planted area +

232,320 square feet of planted area = 696,960 total square feet of planted area. 696,960 total

square feet of planted area ÷ 43,560 square feet per acre = 16.0 insurable, planted acres.

G. DETERMINING PLANTS PER ACRE

(1) Determine row width and acreage in accordance with subsections 5D and 5F.

(2) Square feet per acre divided by row width (use 6 feet for row widths for row widths greater

than 6 feet) divided by plant spacing (in feet to hundredths) times 2 (double row beds)

equals plants per acre.

EXAMPLE: 43,560 square feet divided by 6 foot row width equals 7,260 linear feet of row per

acre; divided by 1.00 foot (12-inch plant spacing) times 2 equals 14,520 plants per acre.

H. BACKGROUND INFORMATION

(1) Each pepper plant will normally produce an average of six marketable peppers per plant.

Two are set in the crown, two in the first branching, and two in the secondary branching.

(2) Peppers are normally set in double rows in each 36-inch wide plastic mulch bed.


I. PEPPER STAGES OF GROWTH

(1) Applicability. These instructions provide plant growth-stage information for use when

appraising potential production during various stages of growth.

(2) Determination. The growth stage determination is based on the length of time between

specified events, depending on whether plants are direct-seeded or transplanted. Fields

should be split into subfields to reflect distinctly different stages of growth from different

parts of the field.

(3) For hail damage the stage of growth can be determined by counting the days from seeding

or transplanting to the date of damage.

J. STAGE AMOUNTS OF INSURANCE PER ACRE

Stage

Percent of Amount of

Insurance per acre the

insured selected

Length of time if

Direct Seeded

Length of time if

Transplanted

1 65

From planting

through the 74th day

after planting

From planting

through the 44th day

after planting

2 85

From the 75th day

after planting until

the beginning of

stage 3

From the 45th day

after planting until

the beginning of

stage 3

3 100

Begins the earlier of

110 days after

planting or the

beginning of harvest

Begins the earlier of

80 days after planting

or the beginning of

harvest.

EXAMPLE: The insured selected $3,262 per acre amount of insurance, and the crop was

determined to be in stage 1 when the damage occurred. The chart above shows stage 1

percentage to be 65%. Multiply $3,262 by 65% = $2,120 (rounded to nearest whole dollar) to

obtain the stage 1 per acre amount of insurance.


6. APPRAISAL METHODS


These instructions provide information on appraisal methods for:

Appraisal Method... Use...

Planting to Fruit Set Method From planting to fruit set.

After Fruit Set Method After the plants have developed fruit.

B. PLANTING TO FRUIT SET METHOD

(1) This method is based on the number of surviving plants in a designated sample row length

(use 1/100 of an acre). (Refer to section 5 for determination of sample row length).

(2) Surviving plant counts are converted to a percent potential remaining in the field by

dividing the total number of surviving plants by the total number of original plants.

(3) Using the percent potential, convert the percentage to boxes. Refer to the appraisal

worksheet for an example, and refer to section 5, “Fresh Market Pepper Appraisals,” for

background information.

C. AFTER FRUIT SET METHOD

(1) This method is based on the number of mature bell peppers remaining on acreage which the

pepper plants produced or would have produced by the end of the insurance period. DO

NOT include peppers, which DUE TO INSURABLE CAUSES would not be marketable.

(2) Count potential production on acreage that has not been harvested the third time. For any

appraised potential on acreage that has been harvested for the third time, count only the

appraised mature production in excess of 25 boxes per acre. The net (reduced) appraisal

(not less than zero) is entered on the appraisal worksheet and Production Worksheet.

(3) The average number of peppers for all representative samples is determined by dividing the

total number of peppers by the number of sample plots.

(4) The average number of peppers from all representative samples shall be converted to an

average box per sample by dividing the average number of peppers by 100 (the number of

peppers in one box).

(5) The average box per sample multiplied by the acreage factor (1000 for 1/1000 acre or 100

for 1/100 acre) will equal the average number of boxes of peppers per acre.


7. APPRAISAL DEVIATIONS AND MODIFICATIONS

A. DEVIATIONS

Deviations in appraisal methods require RMA written authorization (as described in the LAM)

prior to implementation.

B. MODIFICATIONS

There are no pre-established appraisal modifications contained in this handbook. Refer to the

LAM for additional information.

8. APPRAISAL AND SUMMARY OF HARVESTED

PRODUCTION ENTRIES AND COMPLETION PROCEDURES

A. WORKSHEET FORM STANDARDS

*** (1) The entry items in subsection 8C are the minimum requirements for the Fresh Market

Pepper Appraisal Worksheet. The entry items in subsection 8D are the minimum

requirements for the Fresh Market Pepper Summary of Harvested Production Worksheet.

All of these entry items are “Substantive,” (i.e., they are required.)

(2) Appraisal worksheet completion instructions. The completion instructions for the required

entry items on the appraisal and summary of harvested production worksheets in the

following subsections are “Substantive,” (i.e., they are required.)

(3) The Privacy Act and Non-Discrimination Statements are required statements that must be

printed on the form or provided to the insured as a separate document. These statements

are not shown in the example form in this section. The current Non-Discrimination

Statement and Privacy Act Statement can be found on the RMA website at:

http://www.rma.usda.gov/regs/required.html or successor website.

(4) Refer to the DSSH for other crop insurance form requirements (e.g., font point size, etc.).

B. GENERAL INFORMATION FOR WORKSHEET ENTRIES AND

COMPLETION PROCEDURES

(1) Include the AIP name in the appraisal worksheet title if not preprinted on the AIP‟s

worksheet, when a worksheet entry is not provided.

(2) Include the claim number on the appraisal worksheet (when required by the AIP), when a

worksheet entry is not provided.


(3) Separate appraisal worksheets are required for each unit appraised and for each field or

subfield, which (Applicable to replant, preliminary, and final claims):

(a) Qualifies as a different stage of insurance (Planting to Fruit Set ONLY); or

(b) Has a different farming practice.

Refer to section 5, “Fresh Market Pepper Appraisals” for sampling requirements.

(4) The MVO I and MVO II are only applicable on harvested production.

(5) An appraisal for potential production is to be completed on any probable loss unit acreage

that has not been harvested the third time.

(6) Standard appraisal and summary of harvested production worksheet items are numbered

consecutively in subsections 8C and 8D. Illustrations are also provided to illustrate how to

complete all entries, except the last three items on the appraisal and summary of harvested

production worksheets.

C. APPRAISAL WORKSHEET ENTRIES AND COMPLETION

INFORMATION

PLANTING TO FRUIT SET/REPLANT

Verify or make the following entries:

Item

No. Information Required

Company: Name of the AIP, if not preprinted on the worksheet (Company Name).

Claim No.: Claim number assigned by the AIP.

1. Insured’s Name: Name of insured that identifies EXACTLY the person (legal entity) to

whom the policy is issued.

2. Policy No.: Insured‟s assigned policy number.

3. Unit No.: Unit number from the Summary of Coverage after it is verified to be correct.

4. Stage: Production stage at time of damage (e.g. 1, 2, or 3). Refer to subsection 5I, “Pepper

Stages of Growth” and subsection 5J, “Stage Amounts of Insurance Per Acre.”

5. Fraction of An Ac.: Use 1/100 of an acre. Refer to subsection 5E, “Determining Sample

Row Length for 1/100 and 1/1000 Acre” for sample row length.

6. Crop: “Fresh Market Peppers” (0083).


7. Crop Year: Four-digit crop year, as defined in the policy, for which the claim has been

filed.

8. Planting Period: Planting period (e.g. Fall, Winter, or Spring). Refer to the Summary of

Coverage for the planting date and the actuarial documents to determine the planting

period.

9. Row Width: Row width, rounded to the nearest whole foot. Refer to subsection 5D,

“Measuring Row Width for Sample Selection.”

10. Plant Spacing: Plant spacing within the row in whole inches (e.g., 18 inches).

11. Fld. ID: Field or subfield identification symbol.

12. Acres: Number of determined insurable acres, to tenths, in field or subfield being

appraised. Refer to subsection 5F, “Determining Insurable Acreage.”

13. Planting Date: Planting date in MM/DD/YYYY format. Refer to the Summary of

Coverage, Planting Record (Exhibit 1), or Planting Record Plat Map (Exhibit 2) for the

planting date.

14. Number of Surviving Plants/Sample Plot: Number of surviving plants in sample plot.

15. Number of Original Plants/Sample Plot: Number of original plants in sample plot.

16. No. Surv.: Total number of all plants surviving in all samples.

17. No. Orig.: Total number of original plants in all samples.

18. %: Result of dividing total surviving (item 16) by total original (item 17) (rounded to

nearest whole percent). This entry must be less than 50 percent for the acreage to qualify

for a replanting payment.

19. Plants/Acre: Number of plants per acre. Refer to subsection 5G, “Determining Plants per

Acre.”

20. Plants Surv.: Result of multiplying the original number of plants per acre (item 19) by

percentage of the plants remaining (item 18) rounded to the nearest whole number.

21. Factor: Enter “.06” for peppers.

22. Boxes/Cartons: Circle “Boxes.” Result of multiplying plants surviving (item 20) by

pepper factor (item 21), rounded to the nearest whole box (1-1/9 bushels).

23. Remarks: Remarks pertinent to the appraisal (e.g., “Qualified for replant” if acreage

qualifies for replanting payment).


The following required entries are not illustrated on the Appraisal Worksheet example below.

24. Insured Signature and Date: Insured‟s (or insured‟s authorized representative‟s)

signature and date. BEFORE obtaining the signature, REVIEW ALL ENTRIES on the

Appraisal Worksheet WITH THE INSURED (or insured‟s authorized representative),

particularly explaining codes, etc., which may not be readily understood.

25. Adjuster Signature, Code No., and Date: Signature of adjuster, code number, and date

signed after the insured (or insured‟s authorized representative) has signed. If the appraisal

is performed prior to signature date, document the date of appraisal in the Remarks section

of the Appraisal Worksheet (if available); otherwise, document the appraisal date in the

Narrative of the Production Worksheet.

Page: Page numbers – (Example: Page 1 of 1, Page 1 of 2, Page 2 of 2, etc.).


PEPPER / FRESH TOMATOES

APPRAISAL WORKSHEET

Planting to Fruit Set/Replant (FOR ILLUSTRATION PURPOSES ONLY)

COMPANY 1. INSURED'S NAME 2. POLICY NO. 3. UNIT NO. 4. STAGE 5. FRACTION OF AN AC.

Any Company I. M. Insured XXXXXXX 00100 1 1/100

CLAIM NO.: 6. CROP 7. CROP YEAR 8. PLANTING PERIOD 9. ROW WIDTH 10. PLANT SPACING

XXXXX Fresh Market Peppers (0083) YYYY Fall 6 Ft. 18 inches

FLD ID ACRES PLANTING

DATE

14. NUMBER OF SURVIVING PLANTS/SAMPLE PLOT 16. NO. SURV. %

PLANTS / ACRE

PLANTS SURV.

FACTOR

BOXES /

CARTONS 15. NUMBER OF ORIGINAL PLANTS/SAMPLE PLOT 17. NO. ORIG.

11 12 13 18 19 20 21 22

1A 36.8 9/8/YYYY

14 33 25 39 22 20 16 139

168

÷

= 29 x 9,680 = 2,807 x .06 =

15 98 95 96 96 95 17

480

14 16

÷

= x = x =

15 17

14 16

÷

= x = x =

15 17

14 16

÷

= x = x =

15 17

14 16

÷

= x = x =

15 17

14 16

÷

= x = x =

15 17

14 16

÷

= x = x =

15 17

23. REMARKS

Double Rows per 3-foot bed.

Fields 1B and 1C will be harvested.

Refer to the Above Appraisal Worksheet instructions for required statements and signature entries.


AFTER FRUIT SET


Item



Claim No.: Claim number as assigned by the AIP.

1. Insured’s Name: Name of the insured that identifies EXACTLY the person (legal entity)

to whom the policy is issued.

2. Policy No.: Insured‟s assigned policy number.

3. Unit No.: Unit number from the Summary of Coverage after it is verified to be correct.

4. Row Width: Row width, rounded to the nearest whole foot. Refer to subsection 5D,

“Measuring Row Width for Sample Selection.”



filed.


Coverage for the planting date and the actuarial documents, Planting Record (Exhibit 1), or

Planting Record Plat Map (Exhibit 2) to determine planting period.

8. Fld. ID: Field or subfield identification symbol.

9. Acres: Number of determined insurable acres, to tenths, in field or subfield being

appraised. Refer to subsection 5F, “Determining Insurable Acreage.”

10. Stage: Production stage at time of damage (e.g. 1, 2, or 3). Refer to subsection 5I, “Pepper

Stages of Growth” and subsection 5J, “Stage Amounts of Insurance Per Acre.”

11. Fraction of an Acre: Fraction of an acre used to complete the appraisal (1/1000 or 1/100

of an acre). Refer to subsection 5E, “Determining Sample Row Length for 1/100 and

1/1000 Acre” for sample row length.


12. No. of Peppers in each Sample: Count the number of:

a. Peppers which have potential to reach the mature stage by the end of the insurance

period on acreage that has not been harvested the third time; or

b. Unharvested mature bell peppers remaining on acreage that has been harvested the

third time.

13. Total Peppers all Samples: Sum entries in number of peppers in each sample (item 12).

14. Total Sample Plots: Total number of sample plots for the field or subfield in item 12.

15. Average Number Peppers: Result (to tenths) of dividing total number of peppers in all

samples (item 13) by total number of sample plots (item 14).

16. Number Peppers in One Box: MAKE NO ENTRY. Preprinted on the worksheet.

17. Average Boxes / Sample: Result, (to thousandths) of dividing the average number of

peppers per sample (item 15) by number of peppers per box [100] (item 16).

18. Acreage Factor: If entry in fraction of an acre (item 11) is 1/1000 of an acre enter “1000,”

if entry in fraction of an acre (item 11) is 1/100 of an acre enter “100.”

19. Boxes Peppers Per Acre: Result of multiplying average boxes per sample (item 17) by

acreage factor (item 18). Round to the nearest whole box.

20. Remarks: Specify, by line, the number of harvests which have been completed on the

acreage and which appraisals have been reduced by 25 boxes per acre, as applicable.

The following required entries are not illustrated on the Appraisal Worksheet example below.



Appraisal Worksheet WITH THE INSURED (or insured‟s authorized representative),


22. Adjuster Signature, Code No., and Date: Signature of adjuster, code number, and date

signed after the insured (or insured‟s authorized representative) has signed. If the appraisal

is performed prior to signature date, document the date of appraisal in the Remarks section

of the Appraisal Worksheet (if available); otherwise, document the appraisal date in the

Narrative of the Production Worksheet.

Page: Page numbers – (Example: page 1 of 1, Page 1 of 2, Page 2 of 2, etc).


Company: Any Company Claim No.: XXXXX

APPRAISAL WORKSHEET

After Fruit Set

(For Illustration Purposes Only)

1. INSURED‟S NAME

I. M. INSURED

2. POLICY NO.

XXXXXXX

3. UNIT NO

00100

4. ROW WIDTH

6 FEET 5. CROP

FRESH MARKE PEPPERS (0083)

6. CROP YEAR

YYYY

7. PLANTING PERIOD

FALL

FLD ID ACRES STAGE

FRACTION

OF AN

ACRE

NO. OF PEPPERS IN EACH SAMPLE

TOTAL

PEPPERS ALL

SAMPLES

TOTAL

SAMPLE

PLOTS

AVERAGE

NUMBER

PEPPERS

NUMBER

PEPPERS IN

ONE BOX

AVERAGE

BOXES /

SAMPLE

ACREAGE

FACTOR

BOXES

PEPPER PER

ACRE

8 9 10 11 12 13 14 15 16 17 18 19

1B 25.4 3 1/1000 41 32 27 38 52

190 5 38.0 100 0.380 1000 380

100

100

100

100

20. REMARKS

Double rows per 3-foot bed. Field 1B had hail damage. Field 1B, Stage 3, No Harvest.

Field 1A Released to plant to melons on prior inspection. Field 1C will be harvested.

Refer to the Above Appraisal Worksheet instructions for required statements and signature entries.

x

X

=

x

=

x

=

x

=

x

=

=

x

= =

x

= =

x

= =

x

= =

x

=

=

x

=

=

x

=

=

x

=

=

÷

=

x

=

=

x

=

÷

=

x

= ÷

=

x

= ÷

=

x

= ÷

=

x

= ÷

=

x

=

÷

=

x

= ÷

=

x

= ÷

=

x

= ÷

=

x

= ÷

=

x

=

=

=

=

=

=


D. SUMMARY OF HARVESTED PRODUCTION WORKSHEET ENTRIES

AND COMPLETION PROCEDURES

(1) Use this worksheet to record production of marketable fresh market peppers, which are harvested. Use separate summary of harvested production worksheets for:

(a) Harvested production sold directly to consumers (e.g., direct marketed, roadside

stands, farmer‟s markets, U-Pick, “penhooked,” sold for cash, etc.).

(b) Each broker, packer, processor or other first handler;

(c) Marketable production that is harvested, but not sold; or

(d) Salvaged (“penhooker”) tomatoes harvested and sold to someone other than a first handler is to be reported as “u-pick.”

(2) Packout computer printout sheets may be used to record harvested production in lieu of the

summary of harvested production worksheets, provided that they establish the total value per load in the same manner with no load valued at less than zero after subtracting allowable costs (refer to the Special Provisions for allowable costs). File a copy of the printout sheets in the contract folder.

(3) The actual allowable cost of harvested production can be obtained from the grower.

Allowable costs are to be deducted only for production actually packed.

(4) Production harvested, packed, and shipped will be considered marketable even if such

production is rejected at the destination point.

(5) This worksheet is used to determine the average value (per box) actually received for harvested production. Actual value according to the Crop Provisions or MVO I or MVO II, if applicable, is recorded on the production worksheet.


Item



Claim No.: Claim number as assigned by the AIP.

1. Insured’s Name: Name of the insured that identifies EXACTLY the person (legal entity)




filed.

4. Policy No: Insured‟s assigned policy number.



Coverage for the planting date and the actuarial documents, Planting Record (Exhibit 1), or

Planting Record Plat Map (Exhibit 2) to determine planting period.

6. Unit No.: Unit number from the Summary of Coverage after it is verified to be correct

(e.g., 00100).

7. Name, Address, and Phone No. of Buyer/Packer:

a. For sold production, enter name, address, and telephone number of the buyer/packer

of the production.

b. For unsold production, MAKE NO ENTRY.

If applicable, identify the MVO selected in the lower right corner of item 7.

PART I – PRODUCTION

8. Sale Date:

a. For sold production, enter date the load was sold in MM/DD/YYYY format.

b. For unsold production, enter “unsold” (harvested and/or packed but could not be sold

due to insured causes).

9. Load No.:

a. For sold production, enter the ticket number of the load.

b. For unsold production, enter the number of the USDA certificate of inspection, if

available, and attach a copy of the certificate to the Summary of Harvested

Production worksheet. Enter “u-pick” for u-pick, penhooker, and other production

harvested and sold to someone other than a first handler.

10. No. of Boxes/Cartons:

a. For packed production, enter the number of boxes per load.

b. For production considered to be u-pick and unsold production, enter the number of

boxes of such production. Refer to subsection 2B(4) “Definitions” for the definition of “u-pick”.

If the AIP cannot determine the number of boxes harvested from U-pick acreage, but can determine the total dollars received for the production based on acceptable records, divide the dollar amount received by the Minimum Value per box shown in the Special Provisions to obtain the number of boxes to count and explain on a Special Report. File a copy of the report in the contract folder.


11. Gross Value:

a. For sold production, including u-pick, enter the value per box, determined by dividing

the gross value of sales (from the sales invoice) by the number of boxes sold. Enter

the result in dollars and cents.


12. Allowable Cost:

a. FOR SOLD PRODUCTION ONLY, enter the allowable cost, in dollars and cents per

box. Refer to the Special Provisions.

If the actual allowable cost is less than the value provided in the Special Provisions, enter

the actual allowable cost.

b. For production considered to be u-pick, enter “0.” Refer to subsection 2 B (4) for the

definition of u-pick.

c. For unsold production, MAKE NO ENTRY.

13. Net Value:

a. Subtract allowable cost (item 12) from value per box (item 11). Enter the result in

dollars and cents. If the value is negative enter “0.00.”


14. Minimum Value:

a. For sold or u-pick production, enter one of the following, as applicable:

(1) Minimum Value as stated in the Special Provisions, if no MVO is selected;

(2) MVO I price as stated in the Special Provisions, if MVO I is elected; or

(3) MVO II price as stated in the Special Provisions, if MVO II is elected.

b. For unsold production enter the Minimum Value from the Special Provisions.

c. Refer to the Crop Provisions for more information on Minimum Value, MVO I, and

MVO II.


15. Total Value per Load: Enter the results in dollars and cents.

a. Multiply number of boxes (item 10) by the greater of:

(1) Net Value (item 13); or

(2) Minimum Value (item 14).


16. Total Boxes/Cartons: Sum the number of boxes for all loads from number of boxes

column (item 10).

17. Total ($) All Loads: Sum total dollar value for all loads from total value per load column

(item 14).

PART II – WEIGHTED VALUE

18. Total ($) All Loads: Transfer entry from item 16.

19. Total Boxes/Cartons: Transfer entry from item 15.

20. Value per Box/Carton: Divide total dollars for all loads (item 17) by total

boxes/cartons/crates (item 18). Enter the result in dollars and cents.

The following required entries are not illustrated on the Summary of Harvested Production

Worksheet example below.



appraisal worksheet WITH THE INSURED (or insured‟s authorized representative),


22. Adjuster Signature, Code Number, and Date: Signature of adjuster, code number, and

date signed after the insured (or insured‟s authorized representative) has signed.

Page: Page numbers – (Example: Page 1 of 1, Page 1 of 2, Page 2 of 2, etc.)


For Illustration Purposes Only

COMPANY: ANY COMPANY

1. INSURED‟S NAME

SUMMARY OF HARVESTED

PRODUCTION (Fresh Market Peppers or

Fresh Market Tomatoes)

I. M. Insured

CLAIM NO.: XXXXXXX 2. CROP

Fresh Market Peppers (0083)

3. CROP YEAR 4. POLICY NO. 7. NAME, ADDRESS, AND PHONE NO. OF BUYER/PACKER

YYYY XXXXXXX ABC Packing Co., Box XX,

Any Town, Any State XXXXX Minimum Value

Tel (XXX) XXX-XXXX Option II Selected

5. PLANTING PERIOD 6. UNIT NO.

FALL 00100

PART I – PRODUCTION

SALE DATE LOAD NO. NO. OF BOXES /

CARTONS

PER BOX/CARTON

MINIMUM VALUE,

TOTAL VALUE PER LOAD GROSS VALUE

ALLOWABLE COST NET VALUE

8 9 10 11 12 13 14 15

12-11-YYYY 21642 185 11.00 5.30 5.70 2.90 1,054.50

12-11-YYYY 21645 170 13.00 5.30 7.70 2.90 1,309.00

12-11-YYYY 21647 150 6.00 5.30 0.70 2.90 435.00

12-11-YYYY 22450 160 7.00 5.30 1.70 2.90 464.00

12-18-YYYY 22690 170 15.00 5.30 9.70 2.90 1,649.00

12-18-YYYY 23100 100 0.90 5.30 0.00 2.90 290.00

12-20-YYYY 24250 90 2.00 5.30 0.00 2.90 261.00

12-22-YYYY 24301 140 6.00 5.30 0.70 2.90 406.00

12-24-YYYY 24330 150 11.00 5.30 5.70 2.90 855.00

12-30-YYYY 24600 131 7.67 5.30 2.37 2.90 379.90

16. TOTAL BOXES/CARTONS 1,446 17. TOTAL ($) ALL LOADS 7,103.40 PART II – WEIGHTED VALUE

18. TOTAL ($) ALL LOADS 19. TOTAL BOXES/CARTONS 20. VALUE PER BOX/CARTON

7,103.40 1,446 4.91

21. INSURED SIGNATURE DATE 22. ADJUSTER SIGNATURE CODE NO. DATE

I.M. Insured MM-DD-YYYY I.M. ADJUSTER XXXXX MM-DD-YYYY

Refer to the Above Summary of Harvested Production Worksheet instructions for required

statements and signature entries.


9. CLAIM FORM ENTRIES AND COMPLETION PROCEDURES

A. CLAIM FORM STANDARDS

(1) The entry items in subsection 9C are the minimum Claim Form (hereafter referred to as

“Production Worksheet”) requirements. All of these entry items are considered

“Substantive,” (i.e., they are required.)

(2) Production Worksheet instructions. The completion instructions for the required entry

items on the Production Worksheet in the following subsections are “Substantive,” (i.e.,

they are required.)

(3) The Privacy Act and Non-Discrimination statements are required statements that must be

printed on the form or provided to the insured as a separate document. These statements

are not shown in the example form in this section. The current Non-Discrimination

Statement and Privacy Act Statement can be found on the RMA website at:

http://www.rma.usda.gov/regs/required.html or successor website.

(4) The certification statement required by the current DSSH must be included on the form

directly above the insured‟s signature block immediately followed by the statement below.

“I understand the certified information on this Production Worksheet will be used to

determine my loss, if any, to the above unit. The insurance provider may audit and approve

this information and supporting documentation. The Federal Crop Insurance Corporation,

an agency of the United States, subsidizes and reinsures this crop insurance.”

(5) Refer to the DSSH for other crop insurance form requirements (e.g., point size of font, etc.)

B. GENERAL INFORMATION FOR WORKSHEET ENTRIES AND

COMPLETION PROCEDURES

(1) The Production Worksheet is a progressive form containing all notices of damage for all

preliminary, replant, and final inspections, including “No Indemnity Due” claims, on a unit.

(2) If a Production Worksheet has been prepared on a prior inspection, verify each entry and

enter additional information as needed. If a change or correction is necessary, strike out all

entries on the line and re-enter correct entries on a new line. The adjuster and insured

should initial any line deletions.

(3) Refer to the LAM for instructions regarding the following:

(a) Acreage report errors.

(b) Delayed notices and delayed claims.

http://www.rma.usda.gov/regs/required.html


(c) Corrected claims or fire losses (double coverage) and cases involving uninsured

causes of loss, unusual situations, controversial claims, concealment, or

misrepresentation.

(d) Claims involving a Certification Form (when all the acreage on the unit has been

appraised to be put to another use, when acreage is being appraised for a replanting

payment and all acreage on the unit has been initially planted, or other reasons

described in the LAM).

(e) “No Indemnity Due” claims, which must be verified by an APPRAISAL or

NOTIFICATION from the insured that the production exceeded the guarantee.

(4) The adjuster is responsible for determining if the insured has complied with all of their

requirements under the notice and claim provisions of the policy. If they have not, the

adjuster should contact the AIP.

(5) Instructions labeled “PRELIMINARY” apply to preliminary inspections only.

Instructions labeled “REPLANT” apply to replant inspections only. Instructions labeled

“FINAL” apply to final inspections only. Instructions not labeled apply to ALL

inspections.

C. FORM ENTRIES AND COMPLETION INFORMATION


Item


1. Crop/Code #: “Fresh Market Peppers” (0083).

2. Unit #: Unit number from the Summary of Coverage after it is verified to be correct (e.g.,

00100).

3. Location Description: Land location that identifies the legal description, if available, and

the location of the unit (e.g., section, township, and range; FSA Farm Serial Numbers; FSA

Common Land Units (CLU) and tract numbers; GPS identifications; or Grid

identifications) as applicable for the crop.

4. Date(s) of Damage: First three letters of the month(s) during which the determined

insured damage occurred for the inspection and cause(s) of damage listed in item 5 below.

If no entry in item 5 below, MAKE NO ENTRY. For progressive damage, enter in

chronological order the month that identifies when the primary insured damage occurred.

Include the SPECIFIC DATE where applicable as in the case of hail damage (e.g., Aug 11).

Enter additional dates of damage in the extra spaces, as needed. If more space is needed,

document the additional dates of damage in the “Narrative” (or on a Special Report). Refer

to the illustration in item 6 below.


If there is no insurable cause of loss, and a no indemnity due claim will be completed,

MAKE NO ENTRY.

5. Cause(s) of Damage: Name of the determined insured cause(s) of damage for this crop as

listed in the LAM for the date of damage listed in item 4 above for this inspection. If an

insured cause(s) of damage is coded as “Other,” explain in the “Narrative.” Enter

additional causes of damage in the extra spaces, as needed. If more space is needed,

document the additional determined insured causes of damage in the “Narrative” (or on a

Special Report). Refer to the illustration in item 6 below.

If it is evident that no indemnity is due, enter “NO INDEMNITY DUE” across the columns

in Item 5 (refer to the LAM for more information on no indemnity due claims). If the claim

is denied, enter “DC” and refer to the LAM for further instructions.

6. Insured Cause %:

PRELIMINARY: MAKE NO ENTRY.

REPLANT AND FINAL: Whole percent of damage for the insured cause of damage

listed in item 5 above for this inspection. Enter additional “Insured Cause %” in the extra

spaces, as needed. If additional space is needed, enter the additional determined “Insured

Cause %” in the “Narrative” (or on a Special Report). The total of all “Insured Cause %”

including those entered in the “Narrative” must equal 100%.

If there is no insurable cause of loss, and a no indemnity due claim will be completed,

MAKE NO ENTRY.

Example entries for items 4-6 and the “Narrative,” reflecting entries for multiple dates of

damage, the corresponding insured causes of damage and insured cause percents:

4. Date(s) of Damage MAY JUN 30 JUN 30 AUG AUG

5. Cause(s) of Damage Excess Moisture Tornado Hail Drought Heat

6. Insured Cause % 10 20 15 25 20

Narrative: Additional date of damage – SEP 5; Cause of Damage – Freeze; Insured cause

Percent - 10%.

7. Company/Agency: Name of the AIP and agency servicing the contract.

8. Name of Insured: Name of the insured that identifies EXACTLY the person (legal entity)


9. Claim #: Claim number as assigned by the AIP.

10. Policy #: Insured‟s assigned policy number.

11. Crop Year: Four-digit crop year, as defined in the policy, for which the claim is filed.


12. Additional Units:

PRELIMINARY AND REPLANT: MAKE NO ENTRY.

FINAL: Unit number(s) for ALL non-loss units for the crop at the time of final inspection.

A non-loss unit is any unit for which a Production Worksheet has not been completed.

Additional non-loss units may be entered on a single Production Worksheet.

If more spaces are needed for non-loss units, enter the unit numbers, identified as “Non-

Loss Units,” in the Narrative or on an attached Special Report.

13. Est. Prod. Per Acre:


FINAL: Estimated yield per acre, in whole boxes, of ALL non-loss units for the crop at

the time of final inspection.

14. Date(s) Notice of Loss:

PRELIMINARY:

a. Date the first or second notice of damage or loss was given for the unit in item 2, in

the 1st or 2nd space, as applicable. Enter the complete date (MM, DD, and YYYY)

for each notice.

b. A notice of damage or loss for a third preliminary inspection (if needed) requires an

additional set of Production Worksheets. Enter the date of notice for a third

preliminary inspection in the 1st space of item 14 on the second set of Production

Worksheets.

c. Reserve the “Final” space on the first page of the first set of Production Worksheets

for the date of notice for the final inspection.

d. If the inspection is initiated by the AIP, enter “Company Insp.” instead of the date.

e. If the notice does not require an inspection, document as directed in the “Narrative”

instructions.

REPLANT AND FINAL: Transfer the last date (in the 1st or 2nd space from the first or

second set of Production Worksheets) to the FINAL space on the first page of the first set

of Production Worksheets) if a final inspection should be made as a result of the notice.

Always enter the complete date of notice (MM, DD, and YYYY) for the “FINAL”

inspection in the final space on the first set of production worksheets. For a delayed notice

of loss or delayed claim, refer to the LAM.


15. Companion Policy(s):

a. If no other person has a share in the unit (insured has 100 percent share), MAKE NO

ENTRY.

b. In all cases where the insured has LESS than a 100 percent share of a loss-affected

unit, ask the insured if the OTHER person sharing in the unit has a multiple-peril

insurance contract (i.e., not crop-hail, fire, etc.). If the other person does not, enter

“NONE.”

(1) If the other person has a multiple-peril crop insurance contract and it can be

determined that the SAME AIP services it, enter the contract number. Handle

these companion policies according to AIP instructions.

(2) If the OTHER person has a multiple-peril crop insurance contract and a

DIFFERENT AIP or agent services it, enter the name of the AIP and/or agent

(and contract number) if known.

(3) If unable to verify the existence of a companion contract, enter “Unknown” and

contact the AIP for further instructions.

c. Refer to the LAM for further information regarding companion contracts.

SECTION I – DETERMINED ACREAGE APPRAISED, PRODUCTION AND

ADJUSTMENTS

Make separate line entries for varying:

(1) Rate classes, types, class, sub-class, intended use, irrigated practice, cropping

practice, or organic practices, as applicable;

(2) Appraisals;

(3) Stages or intended use(s) of acreage;

(4) Shares (e.g., 50 percent and 75 percent shares on the same unit); or

(5) Appraisals for damage due to hail or fire if Hail and Fire Exclusion is in effect.


Item


***16. Field ID: The field or subfield identification symbol from a sketch map or an aerial photo.

Refer to the “Narrative” instructions.

Where acreage is PARTLY replanted, omit the field ID symbol for the fields that have not

been replanted and that have been consolidated into a single line entry.


17. Multi-Crop Code:

REPLANT: MAKE NO ENTRY.

PRELIMINARY AND FINAL: The applicable two-digit code for first crop and second

crop. REFER TO THE LAM FOR INSTRUCTIONS REGARDING ENTRY OF FIRST

CROP AND SECOND CROP CODES.

18. Reported Acres: In the event of over-reported acres, handle in accordance with the

individual AIP‟s instructions. In the event of under-reported acres, enter the reported acres

to tenths for the field or sub field. If there are no under-reported acres MAKE NO ENTRY.

19. Determined Acres: Refer to the LAM for definition of acceptable determined acres used

herein. Enter the determined acres to tenths for the field or subfield for which consent is

given for other use and/or:

a. Put to other use without consent;

b. Abandoned;

c. Damaged by uninsured causes; or

d. For which the insured failed to provide acceptable records of production.

Refer to the LAM for procedures regarding when estimated acres are allowed and

documentation requirements.

REPLANT: Determine the total acres, to tenths, of replanted acreage for each field or

subfield (DO NOT ESTIMATE). Make a separate line entry for any PART of a field or

subfield NOT replanted.

a. Determine the planted acreage of any fields or subfields NOT replanted. Consolidate

it into a single line entry UNLESS the usual reasons for separate line entries apply.

Record the field or subfield identities (from a map or aerial photo) in the “Narrative.”

b. ACCOUNT FOR ALL PLANTED ACREAGE IN THE UNIT.

PRELIMINARY AND FINAL: Determined acres to tenths. Acreage breakdowns

WITHIN a unit or field may be estimated (refer to the LAM) if a determination is

impractical.

ACCOUNT FOR ALL PLANTED ACREAGE IN THE UNIT

20. Interest or Share: Insured‟s interest in the crop to three decimal places as determined at

the time of inspection. If shares vary on the same UNIT, use separate line entries.


21. Risk: Three-digit code for the correct “Rate class” specified on the actuarial documents.

If a “Rate Class” or “High Risk Area” is not specified on the actuarial documents, MAKE

NO ENTRY. Verify with the Summary of Coverage and if the “Rate Class” is found to be

incorrect, revise according to the AIP‟s instructions. Refer to the LAM.

Unrated land is uninsurable without a written agreement.

22. Type: Three-digit code number, entered exactly as specified on the actuarial documents for

the type grown by the insured. If “No Type Specified” is shown in the actuarial documents,

enter the appropriate three-digit code number from the actuarial documents (e.g., 997). If a

type is not specified on the actuarial documents, MAKE NO ENTRY.

23. Class: Three-digit code number, entered exactly as specified on the actuarial documents

for the class grown by the insured. If “No Class Specified” is shown in the actuarial

documents, enter the appropriate three-digit code number from the actuarial documents

(e.g., 997). If a class is not specified on the actuarial documents, MAKE NO ENTRY.

24. Sub-Class: Three-digit code number, entered exactly as specified on the actuarial

documents for the sub-class grown by the insured. If “No Sub-Class Specified,” is shown

on the actuarial documents, enter the appropriate three-digit code number from the actuarial

documents (e.g., 997). If a sub-class is not specified on the actuarial documents, MAKE

NO ENTRY.

25. Intended Use: Three-digit code number, entered exactly as specified on the actuarial

documents for the intended use of the crop grown by the insured. If “No Intended Use

Specified” is shown in the actuarial documents, enter the appropriate three-digit code

number from the actuarial documents (e.g., 997). If an intended use is not specified on the

actuarial documents, MAKE NO ENTRY.

26. Irr. Practice: Three-digit code number, entered exactly as specified on the actuarial

documents for the irrigated practice carried out by the insured. If “No Irrigated Practice


number from the actuarial documents (e.g., 997). If an irrigated practice is not specified on

the actuarial documents, MAKE NO ENTRY.

27. Cropping Practice: Three-digit code number, entered exactly as specified on the actuarial

documents for the cropping practice (practice) carried out by the insured. If “No Cropping

Practice (Practice) Specified” is shown in the actuarial documents, enter the appropriate

three-digit code number from the actuarial documents (e.g., 997). If a cropping practice

(practice) is not specified on the actuarial documents, MAKE NO ENTRY.

28. Organic Practice: Three-digit code number, entered exactly as specified on the actuarial

documents for the organic practice carried out by the insured. If “No Organic Practice


number from the actuarial documents (e.g., 997). If an organic practice is not specified on

the actuarial documents, MAKE NO ENTRY.


29. Stage:


REPLANT: Replant stage abbreviation as shown below.

STAGE EXPLANATION

“R” ...................................... Acreage replanted and qualifying for replanting payment.

“NR” ................................... Acreage not replanted or not qualifying for a replanting

payment. Enter “NR” if the combined stand appraisal and

uninsured cause appraisal totals 50 percent or more of the

original stand for replanting claims.

FINAL: Stage abbreviation as shown below.

STAGE EXPLANATION

“P” ....................................... Acreage abandoned without consent, put to other use without

consent, damaged solely by uninsured causes, or for which the

insured failed to provide records of production, which are

acceptable to the AIP.

“1,” “2,” or “3” ................... Stage as defined in the Crop Provisions (refer to section 5,

“Fresh Market Pepper Appraisals”).

If all the acreage in the unit was replanted and then a second

cause of loss occurred, the stage would be determined based on

the date replanting was completed. However, if just a portion

of the unit was replanted and additional damage occurred, the

loss would be determined based on varying stages.

GLEANED ACREAGE: Refer to the LAM for information on gleaning.

30. Use of Acreage: Use the following “Intended Use” abbreviations.

USE EXPLANATION

“Replant” ............................ Acreage replanted and qualifying for replanting payment

“Not Replanted” .................. Acreage not replanted or not qualifying for a replanting

payment

“To Cucumbers,” etc. ......... Other use made of the acreage

“WOC” ............................... Other use without consent

“SU” .................................... Solely uninsured

“ABA” ................................ Abandoned without consent

“H” ...................................... Harvested

“UH” ................................... Unharvested


Verify any “Intended Use” entry. If the final use of the acreage was not as indicated, strike

out the original line and initial it. Enter all data on a new line showing the correct “Final

Use.”

GLEANED ACREAGE: Refer to the LAM for information on gleaning.

31. Appraised Potential:

REPLANT: Document the replant calculations in the “Narrative” and enter the amount

allowed per acre for replanting, rounded to dollars and cents. Refer to the Section 4, for

qualifications and computations.

PRELIMINARY AND FINAL: Enter whole boxes per acre from the appraisal worksheet for the field or subfield. Refer to section 6, “Appraisal Methods” for additional instructions.

For any appraised potential on acreage that has been harvested the third time, count only the

appraisal in excess of 25 boxes per acre. This entry will never be less than “0.”

If there is no potential on UH acreage, enter “0.” Refer to subparagraph 85J in the LAM for

Zero Appraisal Documentation.

32a. - 32b. MAKE NO ENTRY.

33. Shell %, Factor, or Value:


PRELIMINARY AND FINAL: For appraised production, enter the greater of:

a. Actual market value per box (determined from a sample provided to the buyer); or

b. Minimum Value per box shown in the Special Provisions for the planting period. Do

not use the MVO I or MVO II price from the Special Provisions for this entry.

34. Production Pre QA:

REPLANT: Enter the result of multiplying column 31 times column 19, rounded to whole

dollars. If no entry in column 31, MAKE NO ENTRY.

PRELIMINARY AND FINAL: Enter the result of multiplying column 31 times column

19 times column 33, rounded to whole dollars. If no entry in column 31, MAKE NO

ENTRY.

35. Quality Factor: MAKE NO ENTRY.

36. Production Post QA: Transfer entry from column 34


37. Uninsured Cause:


PRELIMINARY AND FINAL: Result of per-acre appraisal for uninsured causes (taken

from appraisal worksheet or other documentation) multiplied by column 19, rounded to

whole boxes. Refer to the LAM for information on how to determine uninsured cause

appraisals. If no uninsured causes, MAKE NO ENTRY.

a. Hail and Fire exclusion NOT in effect.

(1) Enter the result of multiplying column 19 entry by NOT LESS than the

insured‟s amount of insurance per acre in dollars and cents for any “P” stage

acreage.

(2) On preliminary inspections, advise the insured to keep the harvested production

from any acreage damaged SOLELY by uninsured causes separate from other

production. Refer to the LAM for information on how to determine uninsured

cause appraisals.

(3) For acreage that is damaged PARTLY by uninsured causes, enter the result of

multiplying the APPRAISED UNINSURED loss of production per acre in

dollars and cents, for any such acreage.

b. Refer to the LAM when a Hail and Fire Exclusion is in effect and damage is from hail

or fire.

c. Enter the result of adding uninsured cause appraisals to hail and fire exclusion

appraisals.

d. For fire losses, if the insured also has other fire insurance (double coverage), refer to

the LAM.

38. Total to Count: Result of adding column 36 and column 37.

39. Total:


REPLANT AND FINAL: Total determined acres (column 19), to tenths.

40. Quality:


PRELIMINARY AND FINAL: Check “None” (refer to the table below).


Qualifying QA Condition:

Test Weight (TW)

Kernel Damage (KD) and Total Defects

Garlicky (Grade)

Aflatoxin

Vomitoxin

Fumonisin

Dark Roast (for Sunflowers only)

Sclerotinia (for Sunflowers only)

Ergoty

COFO (commercially objectionable foreign odor) (includes Musty and Sour Odor)

Other

None

41. Mycotoxins exceed FDA, State, or other health organization maximum limits. Check

“Yes:” MAKE NO ENTRY.

42. Totals: Total of entries in columns 34, 36, 37 and 38. If a column has no entries, MAKE

NO ENTRY.

NARRATIVE:

If more space is needed, document on a Special Report, and enter “Refer to the Special Report.”

Attach the Special Report to the Production Worksheet.

a. If no acreage is released on the unit, enter “No acreage released,” adjuster‟s initials, and

date.

b. If notice of damage was given and “No Inspection” is required, enter “No Inspection,” the

unit number(s), date, and adjuster‟s initials (do not enter the unit numbers for which notice

has not been given). The insured‟s signature is not required.

c. Explain any uninsured causes, unusual, or controversial cases.

d. If there is an appraisal in Section I, column 37 for uninsured causes due to hail/fire

exclusion, show the original hail/fire liability per acre and the hail/fire indemnity per acre.

e. Document the actual appraisal date if an appraisal was performed prior to the adjuster‟s

signature date on the appraisal worksheet, and the date of the appraisal is not recorded on

the appraisal worksheet.

f. State that there is “No other fire insurance” when fire damages or destroys the insured crop

and it is determined that the insured has no other fire insurance. Refer to the LAM.

g. Explain any errors found on the Summary of Coverage.

h. Explain any commingled production. Refer to the LAM.


i. Explain any entry for “Production Not to Count” in Section II, column 62 and/or any

production not included in Section II, column 56 or column 49-52 entries (e.g., harvested

production from uninsured acreage that can be identified separately from the insured

acreage in the unit).

j. Explain a “NO” checked in item 44, “Damage Similar to Other Farms in the Area.”

k. Attach a Planting Record Plat Map (EXHIBIT 2) or aerial photo to identify the total unit:

(1) If consent is or has been given to put part of the unit to another use or to replant;

(2) If acreage has been replanted to a practice uninsurable as an original practice;

(3) If uninsured causes are present; or

(4) For unusual or controversial cases.

Indicate on the aerial photo or Planting Record Plat Map, the disposition of acreage

destroyed or put to other use with or without consent.

l. Explain any difference between date of inspection and signature dates. For an ABSENTEE

insured, enter the date of the inspection AND the date of mailing the Production Worksheet

for signature.

m. When any other adjuster or supervisor accompanied the adjuster on the inspection, enter

the code number of the other adjuster or supervisor and date of inspection.

n. Explain any delayed notices or delayed claims as instructed in the LAM.

o. Document any authorized estimated acres shown in Section I, column 19. Example: “Line

3 „E‟ acres authorized by AIP MM/DD/YYYY.”

p. Document the method and calculation used to determine acres for the unit. Refer to the

LAM.

q. Document in the “Narrative” or on a Special Report, the calculation used to determine the

stage guarantee per acre.

r. Specify the type of insects or disease when the insured cause of damage or loss is listed as

insects or disease. Explain why control measures did not work or if unavailable.

s. Explain the reason for a “No Indemnity Due” claim. No Indemnity Due claims are to be

distributed in accordance with the AIP instructions.

t. Document the appraisal (plus appraisal for uninsured causes of loss, if applicable) for

replanted acreage, and the calculations to show that the qualifications for a replanting

payment have been met. Refer to section 4, “Replanting Payment Procedures.”

u. If any acreage to be replanted in the unit does not qualify for a replanting payment, enter

Field No., “NOT QUAL FOR RP PAYMENT,” date of inspection, adjuster‟s initials, and

reason not qualified.


v. Explain any “0” potential (fresh market pepper plants with no production or fresh market

peppers with no market value).

w. Explain the reason that any harvested production is unsold.

x. Document the name and address of the charitable organization when gleaned acreage is

applicable. Refer to the LAM for more information on gleaning.

y. Document any other pertinent information, including any data to support any factors used

to calculate the production. If on an attachment, enter “See attachment.”

z. Document any unsold, unmarketable harvested production that is damaged or defective due

to insurable causes.

SECTION II – DETERMINED HARVESTED PRODUCTION

GENERAL INFORMATION:

(1) Account for ALL HARVESTED PRODUCTION (for ALL ENTITIES sharing in

the crop) except production appraised BEFORE harvest and shown in Section I

because the quantity cannot be determined later (e.g., released for other uses, etc.).

(2) Column 49 through 54 are for production commercially stored, sold, etc., enter the

name and address of the storage facility or buyer, packinghouse, or processor, as

applicable.

(3) There will be no “harvested production” entries for replanting payments.

(4) If acceptable sales or weight tickets are not available, refer to the LAM.

(5) If additional lines are necessary, the data may be entered on a continuation sheet.

USE SEPARATE LINES FOR:

(a) Different FIRST handlers (buyers, packinghouses, or processors). The insured

must have maintained satisfactory records of ALL production sold or stored.

Verify any packinghouse or processor records.

(b) Separate storage facilities.

(c) Unsold marketable production.

(d) U-pick production. Scavenged (“penhooker”) peppers and other production

harvested and sold to someone other than a first handler is to be reported as u-

pick.

(e) Varying shares; e.g., 50 percent and 75 percent shares on the same unit.


(f) Production from first (original) or second (substitute) crop acreage when a

second crop will be or is planted on the first crop acreage within the same crop

year.

(6) In all localities, if the first handler was not a packer or processor, the production will

be determined by the adjuster on the basis of available records.

(7) There will generally be no harvested production entries in columns 47 through 66 for

preliminary inspections.

(8) If the insured cannot provide the number of boxes harvested from u-pick acreage, but

can provide the total dollars received for that production, divide the dollar amount

received by the Minimum Value per box shown in the Special Provisions to obtain

the number of boxes to count.


Item


43. Date Harvest Completed: (Used to determine if there is a delayed notice or a delayed

claim. Refer to the LAM.)


REPLANT AND FINAL:

a. The earlier of the date the ENTIRE acreage on the unit was (1) harvested, (2) totally

destroyed, (3) replanted, (4) put to other use, (5) a combination of harvested,

destroyed, or put to other use, or (6) calendar date for the end of the insurance period.

b. If at the time of final inspection (if prior to the end of the insurance period), there is

any unharvested insured acreage remaining on the unit that the insured does not

intend to harvest, enter “Incomplete.”

c. If at the time of final inspection (if prior to the end of the insurance period), none of

the insured acreage on the unit has been harvested, and the insured does not intend to

harvest such acreage, enter “No Harvest.”

d. If the case involves a Certification Form, enter the date from the Certification Form

when the entire unit is put to another use, replanting is complete for the unit, etc.

Refer to the LAM.

44. Damage similar to other farms in the area?



REPLANT AND FINAL: Check “Yes” or “No.” Check “Yes” if the amount and cause

of damage due to insurable causes is similar to the experience of other farms in the area. If

“No” is checked, explain in the Narrative.

45. Assignment of Indemnity: Check “Yes” only if an assignment of a indemnity is in effect

for the crop year; otherwise, check “No.” Refer to the LAM.

46. Transfer of Right to Indemnity: Check “Yes” only if a transfer of right to indemnity is

in effect for the unit for the crop year; otherwise, check “No.” Refer to the LAM.

47a. Share: RECORD ONLY VARYING SHARES on SAME unit to three decimal places.

47b. Field ID:

a. If only one practice and/or type of harvested production is listed in Section I, MAKE

NO ENTRY.

b. If more than one practice and/or type of harvested production is listed in Section I,

indicate for each practice/type the corresponding Field ID (from Section I, column

16).

***

48. Multi-Crop Code: The applicable two-digit code for first crop and second crop. REFER

TO THE LAM FOR INSTRUCTIONS REGARDING ENTRY OF FIRST CROP AND

SECOND CROP CODES.

49-54. Length or Diameter, Width, Depth, Deductions, Net Cubic Feet, and Conversion

Factor:

a. For peppers stored or sold, enter the name and address of the buyer, packinghouse, or

processor, as applicable.

b. For unsold marketable production, enter “UNSOLD.”

c. For u-pick production sold off insurable acreage, enter “U-PICK.”

55. Gross Prod.: MAKE NO ENTRY

56. Bu., Ton, Lbs., Cwt.:

a. Line through Bu., Ton, Lbs., Cwt. (Bu., Ton, Lbs., Cwt.) and enter “Box.”

b. Enter total harvested sold, unsold, or u-pick production in whole boxes (from item 19

of Summary of Harvested Production worksheet). Account for production harvested

but not delivered to a packinghouse separately from packed production.


c. The insured is obligated to provide the number of boxes of “u-pick” (and penhooker)

production harvested from insurable acreage. If the insured will not or cannot provide

the number of boxes harvested from “u-pick” acreage and the AIP cannot determine

the value or number of boxes for such production, not less than the amount of

insurance per acre must be assigned for the actual acres affected.

57. - 60b. MAKE NO ENTRY. 61. Adjusted Production: Enter the number of whole boxes from column 56.

62. Prod. Not to Count:

a. The number of boxes damaged solely by uninsured causes from harvested acreage,

which has been assessed an appraisal of not less than the guarantee per acre.

b. If production records are NOT available from acreage damaged solely by uninsured

causes, MAKE NO ENTRY.

THIS ENTRY MUST NEVER EXCEED PRODUCTION SHOWN ON THE SAME

LINE. EXPLAIN ANY “PRODUCTION NOT TO COUNT” IN THE NARRATIVE.

63. Production Pre-QA: Result of subtracting column 62 from column 61.

64a. Value:

a. For SOLD or U-PICK production, enter the “Value Per Box/Carton” from item 20 of

the Summary of Harvested Production worksheet. U-pick production requires a

separate Summary of Harvested Production worksheet (refer subsection 8D).

b. For UNSOLD, MARKETABLE production, enter not less than the applicable

Minimum Value per box as listed in the Special Provisions.

c. For UNSOLD, UNMARKETABLE production damaged or defective due to insurable

causes, enter “0.00.”

64b. MAKE NO ENTRY

65. MAKE NO ENTRY 66. Production to Count: Enter result from multiplying column 63 times column 64a,

rounded to whole dollars. 67. Total of column 63. If no entry in column 63, MAKE NO ENTRY. 68. Section II Total:


FINAL: Total of column 66 in whole dollars.


69. Section I Total:


FINAL: Enter figure from Section I, column 38 total, in whole dollars.

70. Unit Total:


FINAL: Total of items 68 and 69, in whole dollars.

For CAT policies, multiply result by .55, unless otherwise instructed by the AIP that

adjustment will be made by another manual or automated computation process.

71. Allocated Prod.: Refer to the LAM for instructions for determining allocated production.

Enter the total production, rounded to whole boxes, allocated to this unit that is included in

Sections I or II of the Production Worksheet. Document how allocated production was

determined and record supporting calculations in the Narrative or on a Special Report.

72. Total APH Prod.: MAKE NO ENTRY

The following required entries are not illustrated on the Production Worksheet example below.

73. Insured’s Signature and Date: Insured‟s (or insured‟s authorized representative‟s)

signature and date. BEFORE obtaining the signature, REVIEW ALL ENTRIES on the Production Worksheet WITH THE INSURED (or the insured‟s authorized representative), particularly explaining codes, etc., that may not be readily understood.

Final indemnity inspections and final replanting payment inspections should be signed on

bottom line.

74. Adjuster’s Signature, Code #, and Date: Signature of adjuster, code number, and date

signed after the insured (or insured‟s authorized representative) has signed. For an

absentee insured, enter adjuster‟s code number ONLY. The signature and date will be

entered AFTER the absentee has signed and returned the Production Worksheet.

Final indemnity inspections and final replanting payment inspections should be signed on

bottom line.

75. Page:

PRELIMINARY: Page numbers – “1,” “2,” etc., at the time of inspection.

REPLANT AND FINAL: Page numbers - (Example: Page 1 of 1, Page 1 of 2, Page 2 of

2, etc.).


PRODUCTION WORKSHEET 1. Crop/Code # 2. Unit # 3. Location Description 7. Company ANY COMPANY 8. Name of Insured

Fresh Market Pepper Agency ANY AGENCY I.M. INSURED

0083 00100 N – 5 – 50 – 20 9. Claim # 11. Crop Year

4. Date(s) of Damage OCT 10 DEC 1 XXXXXXXX YYYY 5. Cause(s) of Damage HAIL FREEZE 10. Policy # XXXXXXX

6. Insured Cause % 60% X 14. Date(s) 1st 2nd Final

12. Additional Units 00200 00300 Notice of Loss MM/DD/YYYY MM/DD/YYYY MM/DD/YYYY

13. Est. Prod. Per Acre 975 950 15. Companion Policy(s) NONE

SECTION I – DETERMINED ACREAGE APPRAISED, PRODUCTION AND ADJUSTMENTS

A. ACTUARIAL B. POTENTIAL YIELD

16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32a.

33. 34. 35. 36. 37. 38. 32b.

Field

ID

Multi-Crop

Code

Reported

Acres

Determined

Acres

Interest or

Share

Risk Type Class Sub-

Class

Intended

Use

Irr

Practice

Cropping

Practice

Organic

Practice Stage

Use of

Acreage

Appraised

Potential

Moisture % Shell %, Factor,

or Value

Production

Pre QA

Quality

Factor

Production

Post QA

Uninsured

Causes

Total to

Count Factor

1A NS 38.0 36.8 1.000 D01 335 140 1 To

Melons 168

7.25 44,822 44,822 44,822

1B NS 25.4 1.000 D01 335 140 3 UH 380

7.25 69,977 69,977 69,977

1C NS 24.9 1.000 D01 335 140 3 H 77

7.25 13,900 13,900 13,900

39. TOTAL 87.1

40. Quality: TW KD Aflatoxin Vomitoxin Fumonisin Garlicky Dark Roast

Sclerotinia Ergoty CoFo Other None 41. Mycotoxins exceed FDA, State or other health organization maximum limits? Yes

42. TOTALS 128,699 128,699 128,699

NARRATIVE (If more space is needed attach a Special Report): Insured selected MVO II ($2.90 per box). Field 1C harvested 3 times. 102 boxes/acre – 25 = 77 Unsold production was due to freeze.

Permanent fields verified. Refer to attached Special Report.

SECTION II – DETERMINED HARVESTED PRODUCTION

43. Date Harvest Completed 44. Damage similar to other farms in the area? 45. Assignment of Indemnity 46. Transfer of Right to Indemnity?

MM/DD/YYYY Yes X No Yes No X Yes No X

A. MEASUREMENTS B. GROSS PRODUCTION C. ADJUSTMENTS TO HARVESTED PRODUCTION 47a.

48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58a. 59a. 60a.

61. 62. 63. 64a.

65. 66. 47b. 58b. 59b. 60b. 64b.

Share Multi-

Crop Code

Length

or Diameter

Width Depth Deduc-

tion

Net

Cubic Feet

Conver-

sion Factor

Gross

Prod.

Bu Ton (Lbs.)

CWT

BOX

Shell/

Sugar Factor

FM% Moisture

% Test WT Adjusted

Production

Prod. Not

to Count

Production

Pre-QA

Value

Quality Factor

Production

to Count

Field

ID Factor Factor Factor Mkt. Price

NS

ABC Packing Company

Any Town, Any State 1,446

1,446 1,446

4.91 7,100

NS UNSOLD 87

87 87

7.25 631

NS U-PICK 92

92 92

4.50 414

67. TOTAL 1,625 68. Section II Total 8,145

This form example does not illustrate all required entry items (e.g., signatures, dates, etc.).

69. Section I Total 128,699

70. Unit Total 136,844

71. Allocated Prod.

72. Total APH Prod.


PRODUCTION WORKSHEET 1. Crop/Code # 2. Unit # 3. Location Description 7. Company ANY COMPANY 8. Name of Insured

Fresh Market Pepper Agency ANY AGENCY I.M. INSURED

0083 00200 S – 6 – 50 – 26 9. Claim # 11. Crop Year

4. Date(s) of Damage SEP 10 XXXXXXXX YYYY 5. Cause(s) of Damage HAIL 10. Policy # XXXXXXX

6. Insured Cause % 100% 14. Date(s) 1st 2nd Final

12. Additional Units Notice of Loss MM/DD/YYYY MM/DD/YYYY

13. Est. Prod. Per Acre 15. Companion Policy(s)

EXAMPLE 1: 100% SHARE



16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32a.

33. 34. 35. 36. 37. 38. 32b.

Field ID

Multi-

Crop

Code

Reported Acres

Determined Acres

Interest

or

Share

Risk Type Class Sub-Class

Intended Use

Irr Practice

Cropping Practice

Organic Practice

Stage Use of

Acreage Appraised Potential

Moisture % Shell %,

Factor,

or Value

Production Pre QA

Quality Factor

Production Post QA

Uninsured Causes

Total to Count Factor

2A NS 30.0 1.000 D01 335 140 R Replanted 510.00

15,300 15,300 15,300

2B NS 32.2 1.000 D01 335 140 NR Not

Replanted

39. TOTAL 62.2

40. Quality: TW KD Aflatoxin Vomitoxin Fumonisin Garlicky Dark Roast

Sclerotinia Ergoty CoFo Other None 41. Mycotoxins exceed FDA, State or other health organization maximum limits? Yes

42. TOTALS 15,300 15,300 15,300

NARRATIVE (If more space is needed, attach a Special Report):

Example above shows allowance when the actual cost is less than the maximum allowance.

Percent of stand for field 2A is 29%. Actual cost of replant is $510.00 per acre. Maximum allowance is $995.00 per acre. Actual cost used. Field wheel measured.

EXAMPLE 2: 50% SHARE



16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32a.

33. 34. 35. 36. 37. 38. 32b.

Field

ID

Multi-Crop

Code

Reported

Acres

Determined

Acres

Interest or

Share

Risk Type Class Sub-

Class

Intended

Use

Irr

Practice

Cropping

Practice

Organic

Practice Stage

Use of

Acreage

Appraised

Potential

Moisture % Shell %, Factor,

or Value

Production

Pre QA

Quality

Factor

Production

Post QA

Uninsured

Causes

Total to

Count Factor

2A NS 30.0 .500 D01 335 140 R Replanted 497.50

14,925 14,925 14,925

2B NS 32.2 .500 D01 335 140 NR Not

Replanted

39. TOTAL 62.2

40. Quality: TW KD Aflatoxin Vomitoxin Fumonisin Garlicky Dark Roast Sclerotinia Ergoty CoFo Other None

41. Mycotoxins exceed FDA, State or other health organization maximum limits? Yes

42. TOTALS 14,925 14,925 14,925

NARRATIVE (If more space is needed, attach a Special Report):

Example above shows allowance when the actual cost is more than the maximum allowance, when share is considered. Percent of stand for field 2A is 29%. Actual cost of replant is $510.00 per acre. Maximum allowance is $995.00 times .500 share, which equals 497.50. Maximum allowance used. Field wheel measured.


NOTES


10. REFERENCE MATERIAL

TABLE A - MINIMUM REPRESENTATIVE SAMPLE REQUIREMENTS

ACRES IN FIELD OR SUBFIELD MINIMUM NO. OF SAMPLES

0.1 - 10.0 3

Add one additional sample for each additional 40.0 acres (or fraction thereof) in the field or

subfield.


EXHIBIT 1

PLANTING RECORD (FOR ILLUSTRATION PURPOSES ONLY)

Company: Any Company Policy No.: XXXXXXX

Crop Name: Fresh Market Pepper Crop Variety: Hybrid Variety

Planting Period: Fall X Winter ____ Spring ____

Farm Description Insured Acres Field

ID Share

Other

Person

Date

Planted

TOMATO ONLY

Section TWP Range Whole 10ths Staked Ground

NW 1/4 5 50 20 36 8 1A 1.000 9/8

NW 1/4 5 50 20 25 4 1B 1.000 9/10

NE 1/4 5 50 20 24 9 1C 1.000 9/15

SW 1/4 6 50 26 30 0 2A .500 S.

Jones 9/15

SE 1/4 6 50 26 32 2 2B .500 S.

Jones 10/8

NW 1/4 4 50 20 12 9 3A .667 T.

Hook 10/10

NW 1/4 4 50 20 15 5 3B .667 T.

Hook 10/13


EXHIBIT 2

PLANTING RECORD PLAT MAP Field Identification and Location Map For Planting Records

(FOR ILLUSTRATION PURPOSES ONLY)

Company: Any Company Crop Name: Fresh Market Pepper

Crop Year: YYYY County: Any County Unit #: 00100 Legal Description: Section N5

Township:

50

Range:

20

Planting Period:

Fall X Winter ___ Spring ___

Insured’s Name:

I.M. Insured

Policy Number:

XXXXXXX

Insured’s Share:

1.000

Name of Other Person Sharing:

N/A

HYW HOUSE

30

HYW

35

IRR CANAL

Field ID

Direct

Seed

Trans-

Planted Stake Ground

Planted Acres Date Planting

Whole 10th Began Ended

1A X 36 8 9/08/YYYY 9/08/YYYY

1B X 25 4 9/10/YYYY 9/10/YYYY

1C X 24 9 9/15/YYYY 9/15/YYYY

1B

1A 1C

United States Department of Agriculture FRESH MARKET ......Bell Pepper An annual pepper (of the...

Documents

Transcript of United States Department of Agriculture FRESH MARKET ......Bell Pepper An annual pepper (of the...